Randall E Mitchem in Saint Joseph - Pulmonary Disease
Randall E Mitchem - NPI 1609808781
Randall E Mitchem is a Pulmonary Disease in Saint Joseph, Missouri. Randall E Mitchem practices all healthcare services and medical treatments related to Pulmonary Disease. The NPI Number for Randall E Mitchem is 1609808781. The last update date is 2017-11-21.
Randall E Mitchem's current location address is 5301 Faraon St Ste 210a, Saint Joseph, Missouri. You can contact this provider via phone number 8162711385 and fax number 8162711379. The mailing address for Randall E Mitchem is 5301 Faraon St Ste 210a, Saint Joseph, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall E Mitchem |
|---|---|
| Address | 5301 Faraon St Ste 210a, Saint Joseph, Missouri |
| Phone Number | 8162711385 |
| Fax Number | 8162711379 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1609808781 |
|---|---|
| Provider Enumeration Date | 2006-07-07 |
| Last Updated Date | 2017-11-21 |
Provider Mailing Address Detail
| Address | 5301 Faraon St Ste 210a |
|---|---|
| City | Saint Joseph |
| State | Missouri (MO) |
| Post Code | 645063512 |
| Phone Number | 8162711385 |
| Fax Number | 8162711379 |
Provider's Primary Taxonomy Detail
| Speciality | Pulmonary Disease |
|---|---|
| Taxonomy | 207Rp1001X |
| Licence No | R6J49 |
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Definition: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 205865009 | MO | -- | |
| 2104655 | MS | AETNA | |
| 100233020B | KS | -- | |
| 403991 | KS | BLUE CROSS BLUE SHIELD KS | |
| 10001363800 | MO | CHP | |
| 25862028 | MO | BLUE CROSS BLUE SHIELD KC |
Post Comment/ Review Below
What is the Randall E Mitchem's unique identification number?
The Randall E Mitchem has been assigned the NPI (National Provider Identifier) Number 1609808781 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Randall E Mitchem's facilities are situated?
The facilities of Randall E Mitchem are physically located at the following address: 5301 Faraon St Ste 210A, Saint Joseph, MO, 645063512.
What is Randall E Mitchem's specialized field of practice, and what is the corresponding taxonomy classification code?
The Randall E Mitchem's area of specialization is Pulmonary Disease, and the corresponding taxonomy code that categorizes this field of practice is 207Rp1001X.
On what date did Randall E Mitchem receive its 1609808781 assignment from the Centers for Medicare & Medicaid Services?
The Randall E Mitchem was assigned its 1609808781 on 2006-07-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Randall E Mitchem's details last updated?
The information pertaining to the Randall E Mitchem, including its address, specialty, and other details, was most recently updated on 2017-11-21.